Date : 00.00.00
Name of the Patient : Abc Xyz Klmn / M / 45 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Cervico-dorsal Spine.
CLINICAL PROFILE :
C/O gradually progressive weakness of BLE with retention of urine since 7 days.
H/O headaches and vomiting with fever since 10 days.
M.R.I of the cervico-dorsal spine was performed using the following parameters :
4 mm thick T1 Weighted and T2 Weighted sagittal images.
10 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is slight loss of water content of the cervical intervertebral discs.
The cervico-dorsal spinal cord appears slightly larger in diameter. There is a hyperintense signal on the T2 Weighted images in the cervico-dorsal spinal cord, centrally, extending over the C2 vertebral level upto the conus medullaris. This signal appears relatively hypointense to the normal cord on the T1 Weighted images. Resultant slight effacement of the CSF space is noted.
The visualized cervico-dorsal vertebral bodies show normal signal intensity. The facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
There is no cord compression.
Altered signal in the cervico-dorsal spinal cord, centrally, extending from the C2 vertebral level upto the conus medullaris as described, most likely represents myelitis, in the given clinical setting.
The possibility of a demyelinating lesion seems less likely.